Skip to main content
Log in

Ethical aspects of the right to refuse medication: A clinicolegal dilemma for the psychiatrist and patient

  • Articles
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Current controversy over the right of psychiatric inpatients to refuse medication has scanted the ethical aspects of this thorny problem. The authors utilize a model case example to explore the issues for psychiatrist and patient and make recommendations for legislative changes in this area.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rogers et al. vs. Okin et al., Opinion, Civ. Act. 75-1610 D Mass., 1975.

  2. Reiser SJ: Refusing treatment and mental illness: Historical and ethical dimensions.Am J Psychiatry 137:329–331, 1980).

    Google Scholar 

  3. Appelbaum PS, Gutheil TG: Rotting with their rights on: Constitutional theory and clinical reality in drug refusal by psychiatric patients.Bull Am Acad Psychiatry Law 7(3):308–317, 1979.

    Google Scholar 

  4. M.G.L.A. C. 201 S. 14; M.G.L.A. C. 123 S. 23; Superintendent of Belchertown State Hospital v. Joseph Saikewicz, Mass. Adv. Sh. (1977) 2461, 370 N.E. 2d 417 (1977).

  5. Rennie v. Klein, 462 F. Supp. 1131 (D.N.J. 1978).

  6. Gutheil TG, Shapiro R, St. Clair RL: Legal Guardianship in drug refusal: An illusory solution.Am J Psychiatry 137:347–352, 1980).

    Google Scholar 

  7. M.G.L.A. C. 201 S. 35.

  8. Supt. of Worcester State Hospital vs Hagberg, 372 N.E. 2d 242 (Mass. Sup. Jud. Ct. 1978).

  9. Stone AA: The myth of advocacy.Hosp Community Psychiatry 30:819–822, 1979.

    Google Scholar 

  10. Shore MF: Public psychiatry: The public's view.Hosp Community Psychiatry 30:768–771, 1979.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The authors acknowledge their indebtedness to Ms Elyse Littaye for assistance in the preparation of this manuscript and to Drs. Paul Appelbaum, Douglas Ingram, and Miles Shore for critical review and suggestions.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eisenberg, G.C., Hilliard, J.T. & Gutheil, T.G. Ethical aspects of the right to refuse medication: A clinicolegal dilemma for the psychiatrist and patient. Psych Quart 53, 93–99 (1981). https://doi.org/10.1007/BF01064892

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01064892

Keywords

Navigation